Chiu Philip W Y, Inoue Haruhiro, Rösch Thomas
Department of Surgery, Institute of Digestive Disease, State Key Laboratory of Digestive Diseases, The Chinese University of Hong Kong, China.
Digestive Disease Center, Showa University Koto Toyosu Hospital, Japan.
Endoscopy. 2016 Dec;48(12):1134-1142. doi: 10.1055/s-0042-119395. Epub 2016 Nov 17.
Recent advances in submucosal endoscopy have unlocked a new horizon for potential development in diagnostic and therapeutic endoscopy. Increasing evidence has demonstrated that peroral endoscopic myotomy (POEM) is not only clinically feasible and safe, but also has excellent results in symptomatic relief of achalasia. The success of submucosal endoscopy in performance of tumor resection has confirmed the potential of this new area in diagnostic and therapeutic endoscopy. This article reviews the current applications and evidence, from POEM to peroral endoscopic tunnel resection (POET), while exploring the possible future clinical applications in this field.
黏膜下内镜检查的最新进展为诊断和治疗性内镜的潜在发展开辟了新视野。越来越多的证据表明,经口内镜下肌切开术(POEM)不仅在临床上可行且安全,而且在贲门失弛缓症的症状缓解方面效果极佳。黏膜下内镜检查在肿瘤切除方面的成功证实了这一诊断和治疗性内镜新领域的潜力。本文回顾了从POEM到经口内镜隧道切除术(POET)的当前应用及证据,同时探讨了该领域未来可能的临床应用。